Hospice News

DECEMBER 9, 2022

1, 2023, meaning that some of the program’s rules will change. Often called the MA hospice carve-in , the voluntary demonstration is designed to assess payer and provider performance related to hospice within Medicare Advantage (MA). Numbers from the program’s first year offer few clues for the 2023 landscape.

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Hospice News

JULY 14, 2022

Margin pressures from the proposed cuts to Medicare home health rates could impact palliative care and hospice. Centers for Medicare & Medicaid Services (CMS) in June released its proposed home health reimbursement rule for 2023, which included a 4.2% pay hike for hospice care in 2023. CMS proposed a 2.7%

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Hospice News

OCTOBER 4, 2022

Only 10 new Medicare Advantage (MA) plans will offer home-based palliative care as a primarily health-related benefit for 2023, but payers may be offering those services through other programs. Among Medicare Advantage supplemental benefits, in-home support services and caregiver support saw the most year-over-year growth for 2023.

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Hospice News

JULY 27, 2022

Centers for Medicare & Medicaid Services (CMS) will give hospices a 3.8% bump in their per diem payments for 2023, according to a final rule published today. Pay Raise for 2023 appeared first on Hospice News. The reimbursement increase is larger than the 2.7% the agency initially proposed for next year.

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Hospice News

DECEMBER 14, 2022

SCAN Group and CareOregon have agreed to join forces in 2023 as a new organization called HealthRight Group. The new nonprofit will combine SCAN’s Medicare portfolio with CareOregon’s predominantly Medicaid health plans. The legacy SCAN would become the Medicare division of the company. Humana Inc.’s

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Hospice News

AUGUST 26, 2022

Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. Budget neutrality has stirred up controversy in recent months due to its role in proposed payment cuts for home health care in Fiscal Year 2023.

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Hospice News

NOVEMBER 4, 2022

Regulators have been keeping an increasingly close watch on hospice providers, and this may intensify in 2023. Centers for Medicare & Medicaid Services (CMS) will be implementing a revised compliance survey process and has convened a Technical Expert Panel to develop a hospice Special Focus Program.

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Hospice News

OCTOBER 20, 2022

SCAN Health Plan is among the Medicare Advantage (MA) payers entering the hospice component of the value-based insurance design (VBID) payment demonstration in 2023. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. Hospice VBID enters its third year in 2023.

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Hospice News

JUNE 8, 2023

However, the market has taken a dip in the first half of 2023, though some expect a rebound before year’s end. million in Q1 of 2023 with an overall net service revenue of $265.1 The post Enhabit’s 2023 M&A Strategy Leans Toward Hospice Assets appeared first on Hospice News. Enhabit’s EBITDA reached $25.3

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Hospice News

DECEMBER 18, 2023

Currently, Medicare reimburses for palliative care via fee-for-service systems that do not cover the full range of interdisciplinary care. Some coverage is available through Medicare Advantage and Accountable Care Organization (ACO) relationships, but these are not available in every market.

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Hospice News

FEBRUARY 24, 2023

The company expects the program to bring in roughly 25 new health care workers each month in 2023 at an estimated cost of $40 million, which VITAS hopes to offset with increased volume as staffing gains drive up capacity. “We The decline resulted from the reinstated 2% Medicare sequestration, a 2.8% drop from the prior year’s quarter.

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Hospice News

DECEMBER 13, 2022

Most hospices are sliding into 2023 between a rock and a hard place, beset by headwinds, labor shortages and questions with no easy answers. Government oversight of hospice providers will tighten during 2023. These concerns will be a hot topic in the new year, but other regulatory actions are also underway for 2023.

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Hospice News

JUNE 3, 2022

The Medicare Part A trust fund is still on track to run short of money before the decade is out, but not as quickly as previously anticipated. By 2028, Medicare would have sufficient dollars to cover 90% of Medicare expenses. Annual raises in reimbursement and Medicare residual costs spurred the higher rate of increase.

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Hospice News

OCTOBER 1, 2022

The hospice component of the value-based insurance design (VBID) demonstration will include elements designed to promote health equity in 2023. Centers for Medicare & Medicaid Services (CMS) that health equity will be a key component of their payment model demonstrations going forward. Health outcomes are unequal.

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Hospice News

JUNE 16, 2023

The mission and function of the Medicare program have evolved over time, and the agency that runs it also may need to adapt to the new ways that health care organizations are doing business, according to SCAN Group CEO Dr. Sachin Jain. billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members.

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Elder Care Matters

NOVEMBER 2, 2022

Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023.

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Hospice News

FEBRUARY 10, 2023

If you were to write a book about hospice in 2023, what would you call it? We’ve heard from the [Medicare Payment Advisory Commission (MedPAC)] on the 20% payment cap reduction. Is Medicare Advantage going to be the path? The amount of work you have to do to collect money with Medicare has grown.

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Hospice News

DECEMBER 6, 2023

The following are the most-read Palliative Care News articles of 2023. #1 3 Medicare Advantage Crackdown Could Dampen Palliative Care Growth (May 3) Palliative care providers have kept an eye on evolving payment models to support their interdisciplinary services. The nation lacks a dedicated reimbursement system for palliative care.

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Hospice News

SEPTEMBER 12, 2022

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Of those, about 3.8

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Hospice News

DECEMBER 19, 2022

Both hospice providers and regulatory agencies are expected to continue efforts toward establishing a new normal, post-pandemic; 2023 could also bring operational impacts associated with the likely lifting of some of the waivers that have been in place during the public health emergency. Stephen Phenneger, president and CFO of St.

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NHPCO

DECEMBER 13, 2023

The findings in this report reflect patients who received care in Calendar Year (CY) 2021, or Fiscal Year (FY) 2021, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. Most beneficiaries switch to Traditional Medicare. of White, 36.3%

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Hospice News

MAY 30, 2023

The number of hospices operating nationwide rose to 5,3,58 in 2021, according to the Medicare Payment Advisory Commission. Among his priorities in 2023 and beyond is the organization’s new “One Hospice” initiative, as well as efforts to further expand its care continuum. This is also very high on the 2023 agenda.”

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Hospice News

APRIL 17, 2024

By 2023, the bureau estimates that more than a quarter of the state’s residents will be older than 60, an increase of close to 40% since 2012. About 19,000 Medicare beneficiaries elected hospice in the state last year, according to the U.S. Centers for Medicare & Medicaid Services (CMS). Census Bureau.

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Hospice News

NOVEMBER 18, 2022

While home health operators brace for the impact of the meager 2023 reimbursement rates, hospices likewise must prepare for a ripple effect. Centers for Medicare & Medicaid Services (CMS) recently established a 0.7% base rate payment increase for home health care in 2023. While this is an improvement from the 4.2%

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Hospice News

NOVEMBER 29, 2022

Also on the table is the question of how to meet the needs of Medicare beneficiaries who increasingly seek to receive care in their homes, according to Center for Medicare & Medicaid Innovation (CMMI) Director Elizabeth Fowler. “In Going forward, this could mean greater collaboration with private-sector payers and providers. .

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Hospice News

MARCH 26, 2024

After 2023’s slump, PE firms have been sitting on more than $800 million in dry powder, according to data shared with Hospice News by The Braff Group. Transaction volume declined in the hospice and home-based care space in 2023, following the two record-breaking prior years. Interest rates remain a wild card.

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Hospice News

MARCH 20, 2023

In 2023, the focus for many is to not only expand their core business but to spread further into the care continuum. The below comments were taken from original interviews, conducted in person and via the phone, throughout early 2023. Because most of the individuals accessing PACE are going to be Medicare and Medicaid beneficiaries.

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Hospice News

SEPTEMBER 27, 2023

For calendar year 2024, 13 Medicare Advantage Organizations (MAOs) will participate in the program’s hospice component, providing coverage through 78 health plans in 19 states. In 2023, 15 MAOs participated in hospice VBID, including 119 health plans in 23 states. million Medicare beneficiaries next year, up from 9.2

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NHPCO

DECEMBER 19, 2023

President and the first known President to utilize the Medicare Hospice Benefit. While in office, the Carter administration tested hospice care as a model, which later led to the Medicare Hospice Benefit we know today. This year’s HAN award recipients are as follows: The Courageous Conversations Award, 2023 Honoree 39 th U.S.

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Hospice News

MARCH 19, 2024

Employment in the home-based care sector rose above pre-pandemic levels in 2023, according to the Medicare Payment Advisory Commission (MedPAC). Total employment in this sector was 5% higher in July 2023 than in February 2020, MedPAC reported.

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Hospice News

JANUARY 12, 2024

The Medicare Payment Advisory Commission (MedPAC) has voted to recommend a freeze on hospice payment increases starting in 2025. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS). set in 2023. set in 2023. for next year, up from $32,486.92

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Hospice News

FEBRUARY 26, 2024

Meanwhile, providers are also rolling with the ups-and-downs of a market ripe for further consolidation after 2023’s M&A slump as workforce headwinds persist. While some hospice companies reported hiring and capacity gains in 2023, often driven by bonus programs, the problem persists for many providers.

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Rehab Realities by Renee Kinder

NOVEMBER 10, 2022

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. CY 2023 PFS rate setting and conversion factor. Click here for a fact sheet on the CY 2023 Physician Fee Schedule Final Rule.

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Hospice News

MARCH 4, 2024

Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. Often called the “hospice carve-in,” the program was designed to test coverage of hospice care through Medicare Advantage, in addition to some coverage of palliative care and transitional care.

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Hospice News

FEBRUARY 23, 2024

31, 2023, Contessa was a stakeholder in at least 10 joint ventures that were actively admitting patients, according to the SEC filing. Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. million in Q4 2023, an improvement from $6.6

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Hospice News

NOVEMBER 4, 2022

Uncertainty earlier this year around Medicare’s proposed 2023 home health payment rates led some stakeholders to expect a swerve towards hospice. Centers for Medicare & Medicaid Services (CMS) in August proposed a 4.2% aggregate cut in the home health base rate, reported Hospice News sister publication Home Health Care News.

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Hospice News

MARCH 7, 2024

This followed a June 2023 push by one of Enhabit’s minority investors, AREX Capital Management, to pursue a sale or other alternative in a letter to the home health and hospice provider’s board of directors. ’s (NYSE: HUM) 2021 acquisition of Kindred at Home for $8.1 Enhabit in Q4 2023 brought in $260.6

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